RRC ID 70254
Author Ito Y, Tanigawa M, Yaguchi T, Toyoshima H, Iwamoto K, Nigi A, Itani H, Kondo S, Tokui T, Sasano H.
Title Pulmonary nocardiosis caused by Nocardia blacklokiae in an immunocompetent patient.
Journal Respir Med Case Rep
Abstract A subset of Nocardia isolates, previously belonging to N. transvalensis, has recently been given the new species designation N. blacklokiae. Here we report a case of pulmonary nocardiosis caused by N. blacklokiae in a 52-year-old immunocompetent woman presenting with low-grade fever and fatigue. The isolated Nocardia strain was resistant to sulfamethoxazole-trimethoprim and amikacin, but susceptible to amoxicillin-clavunate, ceftriaxone, clarithromycin and linezolid. With amoxicillin-clavunate treatment, the patient recovered and her condition remained stable, although recurrence occurred after cessation of the initial treatment. While infection by Nocardia is rare, clinicians should be aware of its resistance to antimicrobials including amikacin and sulfamethoxazole-trimethoprim.
Volume 29
Pages 101005
Published 2020-1-1
DOI 10.1016/j.rmcr.2020.101005
PII S2213-0071(19)30415-0
PMID 32025483
PMC PMC6997618
Resource
Pathogenic eukaryotic microorganisms Nocardia blacklokiae IFM 11877